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What Causes Itching Sensation Inside Throat While Speaking?

Posted on Mon, 9 Feb 2015

Question: Hi,
I am continously having ichy throat, i get the ichyness while speaking and it becomes difficult to speak, this is there since last 3 years and is continously since last one month , please advise

Answered by Dr. Paparaja S (46 minutes later)

Brief Answer:
This could be due to dehydration/allergy/acid reflux...

Detailed Answer:
Hi,
welcome to healthcare magic..
I had gone through your question..i can understand your concern..i do see similar cases in my day today practice...
there could be many causes for itchy throat from dehydration,allergy,infection ..i will definitely solve your problem..before that i would like to know more history regarding the same...
kindly provide the following information..
1) do you feel dryness in throat?
2) do you drink a lot of coffee, tea, or soda?
3) habit of smoking / taking alcohol?
4) are you on any medications?
5) history of voice overuse?
6) any nasal symptoms like allergies ?
7) pain in gastric region? or experiencing acid reflux?
waiting for your valuable reply ....

regards,
Dr. Paparaja S MBBS MS
CONSULTANT ENT SURGEON

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Paparaja S (6 hours later)

Hi,
Thanks for the repky
1) I do feel dryness in the throat but not regularly
2) i do not drink tea or coffee or soda only green tea without sugar
3) i do not smoke or drink alcohol
4) no medication
5) no history of voice overuse
6) i do have some time nasal problem due to cold
7) no pain in gastric region, some time i do feel acid reflux

Thank
XXXXX

Answered by Dr. Paparaja S (1 hour later)

Brief Answer:
This could be due to acid reflux..

Detailed Answer:
Hi, Thanks for your follow up question..
the symptoms suggestive of acid reflux ..but it is not classical GERD that is gastroesophageal reflux disease where acid reflux occurs into esophagus and we see epigastric pain,nausea and easily diagnosed and treated..
You are having a similar condition called as LPRD that is laryngopharyngeal reflux disease..
At either end of your esophagus is a ring of muscle (sphincter). Normally, these sphincters prevent the contents of the stomach refluxing back into esopahagus or throat. But with LPRD, the sphincters don't work right. Stomach acid backs up into the back of your throat (pharynx) or voice box (larynx)..
this acid reflux in throat causing throat itching..and the same acid reflux in voice box can lead to difficulties in speaking..
Nothing to worry..this can be treated conservatively with medications and you will be fine..
i recommend the following
1) It is easy to treat in you because you don't have any triggering factors like taking coffee,tea,soda and you don't have habit of smoking or taking alcohol..i really appreciate you.
-take green tea after eating something like in the morning have it after breakfast and never in empty stomach
2) take your diet regularly and avoid skipping meals..
3) avoid spicy,tomato based foods..
4) eat your dinner three hours before going to bed
5) Elevate head end of the bed about 4 inches
6) Regarding medications this condition is treated effectively using proton pump inhibitors like rabeprazole taken in the early morning, before breakfast
the proton pump inhibitors should be take up to 6 to 8 weeks depending on the symptoms.

Hope i have answered your question..wish you a speedy recovery and good health..take care.
If you are happy with my answer you can close the discussion and rate my answer.

Truly,
Dr. Paparaja S MBBS MS
CONSULTANT ENT SURGEON

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Yogesh D